Access an archived Local Coverage Determination (LCD) or Policy Article (PA) from the table below. All LCDs are listed alphabetically.

• To find a Retired LCD, select the desired LMRP/LCD ID.
  • This link will take a user to the LCD on the CMS Medicare Coverage Database (MCD) Archive Site. The last retired LCD version will appear (noted by revision effective date). If looking for an older version, scroll to the bottom of the LCD and select the version based on the effective dates listed. Select the version to open it.

Access the related PA from the "Associated Documents" section located at the bottom of the LCD. See "Related Local Coverage Documents – Article(s)" and select the Article(s) hyperlink to view the PA.

Title	LCD ID
Ankle-Foot/Knee-Ankle-Foot Orthosis	L11527
Automatic External Defibrillators	L13613
Canes and Crutches	L11496
Cervical Traction Devices	L15844
Cold Therapy	L5038
Commodes	L11497
Enteral Nutrition	L5041
Epoetin	L11463
External Breast Prostheses	L5043
External Infusion Pumps	L5044
Eye Prostheses	L11529
Facial Prostheses	L5046
Glucose Monitors	L11530
Heating Pads and Heat Lamps	L28480
High Frequency Chest Wall Oscillation Devices	L12870
Home Dialysis Supplies and Equipment	L11498
Hospital Beds And Accessories	L5049
Immunosuppressive Drugs	L11531
Infrared Heating Pad Systems	L12873
Intrapulmonary Percussive Ventilation System	L5051
Intravenous Immune Globulin	L27260
Knee Orthoses	L27263
Lower Limb Prostheses	L11464
Manual Wheelchair Bases	L11465
Mechanical In-exsufflation Devices	L12872
Nebulizers	L11499
Negative Pressure Wound Therapy Pumps	L11500
Oral Anticancer Drugs	L5057
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics)	L5058
Oral Appliances for Obstructive Sleep Apnea	L28603
Orthopedic Footwear	L11467
Osteogenesis Stimulators	L11501
Ostomy Supplies	L11502
Oxygen and Oxygen Equipment	L11468
Parenteral Nutrition	L5063
Patient Lifts	L5064
Pneumatic Compression Devices	L11503
DRAFT - Pneumatic Compression Devices	L34820
Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea	L11528
Power Mobility Devices	L21271
Pressure Reducing Support Surfaces - Group 1	L5067
Pressure Reducing Support Surfaces - Group 2	L5068
Pressure Reducing Support Surfaces - Group 3	L5069
Refractive Lenses	L11532
Respiratory Assist Devices	L11504
Seat Lift Mechanisms	L11533
Speech Generating Devices	L11534
Spinal Orthoses: TLSO and LSO	L11470
Suction Pumps	L11505
Surgical Dressings	L11471
Therapeutic Shoes for Persons with Diabetes	L11535
Tracheostomy Care Supplies	L11536
Transcutaneous Electrical Joint Stimulation Devices (TEJSD)	L28551
Transcutaneous Electrical Nerve Stimulators (TENS)	L11506
Tumor Treatment Field Therapy (TTFT)	L34730
Urological Supplies	L5080
Vacuum Erection Devices (VED)	L34732
Walkers	L11472
Wheelchair Options/Accessories	L11473
Wheelchair Seating	L15845